A Late Sternal Wound Infection Caused by Hematogenous Spread of Bacteria

Stuesse, David C.; Robinson, John H.; Durzinsky, Dennis S.

doi:10.1378/chest.108.6.1742

Cited by 19 publications

(10 citation statements)

References 5 publications

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“…Reports on GBS PJI remain rare [7][8][9][10][11][12][13][14] and only 3 studies, including 7, 7, and 14 patients each, have been published [7][8][9]. The frequency of these infections may rise in the future, as European and North American populations age and the number of patients undergoing joint arthroplasty increases.…”

Section: Résumémentioning

confidence: 99%

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Group B streptococcal prosthetic joint infections: a retrospective study of 30 cases

et al. 2009

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Section: Résumémentioning

confidence: 99%

“…Original article [6][7][8][9][10][11][12][13][14][15][16][17][18][19] hemorrhagic shock. A 75-year-old woman with PHI associated with a pelvic abscess was initially treated with resection arthroplasty and abscess drainage.…”

mentioning

confidence: 99%

Group B streptococcal prosthetic joint infections: a retrospective study of 30 cases

et al. 2009

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“…The initially sterile abscess could then have formed as a result of a reaction to a foreign body, e.g., the Teflon used for the ventriculotomy patch. Hematogenous infection of a sternal wound has also been described, 12 though this mechanism is much rarer. Finally, though less likely, contamination during the current surgical repair cannot be firmly excluded.…”

Section: Discussionmentioning

confidence: 99%

Precordial Abscess Inducing Chest Pain 20 Years After Surgical Repair of a Pentalogy of Fallot

Aschwanden¹,

Bodenmann²,

Schlueter³

et al. 2004

Echocardiography

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A 25-year-old male asylum-seeker presented with chest pain, exertional dyspnea, and orthopnea 20 years after the surgical repair of a pentalogy of Fallot. An extracardiac mass compressing the right ventricle was subsequently detected and surgical decompression was performed to relieve the resulting right intraventricular hypertension. At operation, the mass proved to be a coagulase-negative, staphylococcal abscess. In addition, the removal of the mass unmasked a previously nonrecognized pulmonary outflow stenosis that required balloon dilatation and beta-blocker therapy. While infections are known to occur after sternotomy, the formation of an abscess in the anterior mediastinum several years after the intervention appears to be exceptional; this diagnosis came to mind only after the more common complications had been considered, e.g., pseudoaneurysm or pericardial hematoma. To our knowledge, this is the first report of an abscess in the anterior mediastinum that had probably formed over many years following a sternotomy, compressed the right ventricle and masked a pulmonary stenosis.

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“…Concurrent remote site infections are considered to increase SSI risk (118)(119)(120). Therefore, whenever possible, all infections remote to the surgical site should be identified and treated before elective operation, and elective operations on patients with remote site infections should be postponed until the infection has resolved (108).…”

Section: Rationale Studies Have Repeatedly Demonstrated a Significanmentioning

confidence: 99%

Nursing considerations to complement the Surviving Sepsis Campaign guidelines

Aitken

Williams

Harvey

et al. 2011

Critical Care Medicine

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This is the unspecified version of the paper.This version of the publication may differ from the final published version. Permanent repository link Financial supportThis project was conducted under the auspices of the World Federation of Critical CareNurses (WFCCN), and no sponsorship or funding was received for this project. NURSING CONSIDERATIONS TO COMPLEMENT THE SURVIVING SEPSIS CAMPAIGN GUIDELINES ABSTRACTObjective: To provide a series of recommendations, based on the best available evidence, to guide clinicians providing nursing care to patients with severe sepsis.Design: Modified Delphi method involving international experts and key individuals in subgroup work and electronic-based discussion among entire group to achieve consensus.Methods: We used the Surviving Sepsis Campaign Guidelines (SSC) as a framework to inform the structure and content of these guidelines. We used the Grades of Recommendation, Assessment, Development and Evaluation (GRADE) system to rate the quality of evidence from high (A) to very low (D) and to determine the strength of recommendations, with grade1indicating clear benefit in the septic population and grade 2 indicating less confidence in the benefits in the septic population. In areas without complete agreement between all authors a process of electronic discussion of all evidence was undertaken until consensus was reached.This process was conducted independently of any funding.Results: Sixty-three recommendations relating to the nursing care of severe sepsis patients are

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A Late Sternal Wound Infection Caused by Hematogenous Spread of Bacteria

Cited by 19 publications

References 5 publications

Group B streptococcal prosthetic joint infections: a retrospective study of 30 cases

Group B streptococcal prosthetic joint infections: a retrospective study of 30 cases

Precordial Abscess Inducing Chest Pain 20 Years After Surgical Repair of a Pentalogy of Fallot

Nursing considerations to complement the Surviving Sepsis Campaign guidelines

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